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General NPI Number Information
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NPI Number | 1598012932
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Entity Type | Organization
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Legal Business Name | SOUTHWEST KIDNEY & HYPERTENSION SPECIALISTS, PLLC
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 9440 BELLAIRE BLVD SUITE 102
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City | HOUSTON
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State | TX
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Zip | 77036-4557
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Country | US
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Telephone | 281-815-2898
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Fax | 281-815-2909
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Provider Business Mailing Address
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Address Line | PO BOX 16909
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City | SUGAR LAND
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State | TX
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Zip | 77496-6909
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Country | US
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Telephone | 281-815-2898
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Fax | 281-815-2909
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHUN XIE
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Credential | M.D.
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Telephone | 281-815-2898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | N5493
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License Number State | TX
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